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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000166

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maitland HarveyMercer Sex Male

Date of Birth January 12, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Azariah Mercer MAIDEN NAME of Mother Emily  Trotman

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born 34A St. John Ave. Halifax Present address of Father deceased

Occupation of Father at Birth of child Shipyard Worker Place of birth of Father Bay Roberts, Newfoundland

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Maitland Harvey Mercer Address of Applicant 422-49th St. Brooklyn, New York, USA Date October 26, 1952

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maitland HarveyMercer

Born at Halifax in the County of Halifax

That Maitland HarveyMercer Whose Birth is sought to be registered was

born at Halifax Halifax County on January 12, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

I'm enclosing my cradle Roll certificate. This is all I have. I was christened at home at 34A St. John Ave. This is about all the information I have. On back of cradle Roll in upper right hand corner is home address at time of christening.

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